Individual
MECHELLE TAYLOR MORAGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
655 LEXINGTON AVE, JACKSON, TN 38301-5075
(731) 425-7900
Mailing address
460 N PARKWAY, JACKSON, TN 38305-2818
(731) 554-0460
(731) 554-0461
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37286
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3883264
—
TN
05
—
3883266
—
TN
01
—
4057600
BCBS
—
01
—
P00004981
RR MEDICARE
—
Enumeration date
07/11/2006
Last updated
08/29/2020
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